Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program

OMB 0938-1016

OMB 0938-1016

CMS is seeking approval to reinstate the Information Collection Request (ICR) and to update our burden estimates to Forms A and B in preparation for the next round. CMS will publish a slightly modified version of Form A so that bidders will be better able to identify and understand the new requirement related to bid surety bonds (Section 1847(a)(1)(G) of the Act, added by section 522(a) of the Medicare Access and CHIP Reauthorization Act of 2015 (Pub. L. 114-10) (MACRA). We have made changes to Form B to remove the expansion plan section and to include the bidding methodology proposed in CMS-1691-P (83 FR 34304).

The latest form for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program expires 2021-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material
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Approved without change
Reinstatement with change of a previously approved collection 2018-12-06
Comment filed on proposed rule
Reinstatement with change of a previously approved collection 2018-07-26
Withdrawn and continue
Revision of a currently approved collection 2017-03-23
Improperly submitted and continue
Revision of a currently approved collection 2017-02-08
Approved without change
No material or nonsubstantive change to a currently approved collection 2015-08-05
Approved without change
No material or nonsubstantive change to a currently approved collection 2014-11-03
Approved without change
Revision of a currently approved collection 2014-07-08
Approved without change
Revision of a currently approved collection 2013-05-10
Approved without change
Revision of a currently approved collection 2012-07-31
Approved without change
No material or nonsubstantive change to a currently approved collection 2011-11-02
Withdrawn and continue
No material or nonsubstantive change to a currently approved collection 2011-10-24
Approved without change
Revision of a currently approved collection 2010-06-30
Preapproved
No material or nonsubstantive change to a currently approved collection 2010-06-23
Approved without change
Revision of a currently approved collection 2009-06-22
Approved without change
No material or nonsubstantive change to a currently approved collection 2007-04-25
Approved with change
New collection (Request for a new OMB Control Number) 2007-01-12
OMB Details

Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program; Quarterly Reporting Form (Form C)

Federal Enterprise Architecture: Health - Health Care Services

Form CMS-10169Quarterly ReportFillable PrintableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.


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